Volume : 7, Issue : 5, May - 2018

Post-endodontic pain versus flare-up: differences in mean pain scores across the various time points.

Nuria Villas Caceres, Esther Berastegui Jimeno

Abstract :

<p class="MsoNormal" style="line-height:200%"><span lang="EN-GB" style="font-size:&#10;10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">The aim of this study was to observe the evolution of post-endodontic pain over time, noting differences between cases with and without flare-ups.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><i style="mso-bidi-font-style:normal"><span lang="EN-GB" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Material and Methods</span></i></b><i style="mso-bidi-font-style:normal"><span lang="EN-GB" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">:</span></i><span lang="EN-GB" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">375 patientsreceived conventional radicular treatment in a single-visit. Pre-treatment and postoperative pain was recorded using a visual analogue scale (VAS). Statistical analysis applied ANOVA testing. Significance was set at p&le;0.05.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><i style="mso-bidi-font-style:normal"><span lang="EN-GB" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results</span></i></b><b style="mso-bidi-font-weight:normal"><span lang="EN-GB" style="font-size:10.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">:</span></b><span lang="EN-GB" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> In cases without flare-ups, the most intense pain occurred after 4 hours, thereafter decreasing to almost zero at 72 hours, with significant differences (p &le; 0.05). Flare-up cases developed the highest pain levels 24 hours after root canal treatment, with pain still present at the 72-hour, but without significant differences between all study times (p&ge;0.05). <o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><i style="mso-bidi-font-style:normal"><span lang="EN-GB" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusions</span></i></b><i style="mso-bidi-font-style:normal"><span lang="EN-GB" style="font-size:10.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">:</span></i><span lang="EN-GB" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> The most painful post-treatment time in conventional endodontic treatment occurs between 4 and 24 hours after intervention. In cases of flare-up, patients may experience a delayed pain that may still be after 72 hours.<o:p></o:p></span></p>